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Судоводы - 10 семестр / Вопросы + ответы / Marine accident, incident near miss reports.doc
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MARINE

ACCIDENT, INCIDENT

NEAR MISS REPORTS

(OFFICIAL REPORTS ADAPTED FROM

Marine Accident Investigation Branch - MAIB)

Одесса - 2017

Part 1. Near miss reports

A near miss (потенциально опасное происшествие) is a hazardous event which does NOT result in accident / injury but a situation has arisen where an accident or an incident could have happened.

Some examples of near misses which occur during day-to-day activities:

  • A seaman is found aloft (на высоте) not wearing a safety harness (страховочный пояс),

  • Acid is spilled while filling up emergency batteries,

  • A cargo net breaks while taking on stores but there is no damage,

  • Emergency action is required to avoid collision.

Near misses should be reported to a Senior Officer or the Master who will complete a near miss report to send to the office.

  • Near miss reports should be completed in full so that a complete picture of the incident can be built up.

  • Near miss reports do not need to be signed.

  • Once received by the office a near miss will be analysed and compared to other near misses. In this way, trends can be identified and changes put in place to improve safety onboard.

  • Near miss reports should be filed onboard so that action can be followed up and they can be accessed by external examiners / auditors.

CASE STUDY

Case study - 1. Pilot Ladder Insecure

Weather: SW winds, 26 knots cloudy with showers.

The pilot vessel came alongside the departing ship from Fremantle Port inner harbour. The procedure is to check that the Pilot ladder is correctly rigged as per the guidelines set by the International Maritime Pilots Association, before the Pilot disembarks. The testing of the ladder involves placing weight on the ladder and pulling on the manropes. When the manropes were tested it became apparent that one of them had not been correctly secured.

The pilot then proceeded to instruct and assist the crew to correctly rig both manropes. The pilot proceeded to disembark with no problems. This near miss is a reminder of the dangers that the pilot is exposed to when transferring between pilot launch and ships at sea. Had the Pilot crew not correctly followed procedure and had the pilot not noticed, it is certainly possible that the pilot may have fallen.

1. Answer the questions.

  1. Weather: SW winds, 26 knts cloudy with showers. What is the force of the wind in this case according to the Beaufort scale?

  2. According to what organisations should the Pilot ladder be rigged correctly?

  3. How should the Pilot ladder be tested properly?

5. Can you explain the expression “placing weight on the ladder”, and “pulling on the manropes”. Describe the process.

6.What is “near miss” ? Why is it so important to report near misses to the company?

7. Who is responsible for securing the Pilot ladder on board the ship?

2. Decide if the following statements are True or False. Correct the wrong ones.

  1. The reminder of the dangers that the pilot is exposed to is called dangerous avoidance of the accident.__________

  2. The pilot vessel was underway alongside the departing ship from inland harbour Fremantle Port.__________

  3. Prior the Pilot disembarks, the officer must be sure that the pilot ladder is secured correctly.

____________

  1. When the manropes were tested it became clear that the pilot ladder had been rigged properly.

______________

5. The Pilot crew had not correctly followed the procedure and the pilot had not noticed that the ladder was unsecured. _____________

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